Jessica M Morrison, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Winooski, VT
NPI 1306398649 · NPPES record last updated Nov 3, 2016
Key facts
- NPI
- 1306398649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101.0119617 (VT)
- Practice address
- 20 W Canal St
Suite C1
Winooski, VT 05404-2131 - Phone
- (802) 654-3562
- Fax
- (802) 654-3698
- NPI assigned
- Nov 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 13, 2025 through Feb 13, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0119617 | VT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Nutrition, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 101.0119617 | VT | Yes |
Addresses
Primary practice location
20 W Canal St
Suite C1
Winooski, VT 05404-2131
Mailing address
20 W Canal St
Suite C1
Winooski, VT 05404-2131
Other providers in Winooski, VT
- Riyaz Merali
- Amy Christine Miller
- Roshanna D. Minton
- Hannah Monius
- Diane Montgomery-Logan
- Katlin Mostue-Nesbit
- Jeanette W. Moy
- Sarah Elizabeth Murphy
- William Myregaard
- Dorsey T Naylor
All providers in Winooski, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.